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1285169110
JED PADRE
CARSON, CA
NPI
1285169110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A169377)
Enumeration Date
2017-04-28
Last Update Date
2020-07-22
Business Address
JED PADRE MD
282 E SEPULVEDA BLVD
CARSON, CA 90745-6323
Phone number: 310-518-6861
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Mailing Address
JED PADRE MD
282 E SEPULVEDA BLVD
CARSON, CA 90745-6323
Phone number: 310-518-6861
Copy
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